| NPI | 1558806224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024013767) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2024012734) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209016557) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2026-07-24 |