| NPI | 1568742393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991981) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9358291) |
| 163W00000X Registered Nurse (Licence: IL 309005425) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209008813) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2025-08-07 |