| NPI | 1558878439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017328) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016835) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2023-09-08 |