| NPI | 1578047791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704270051) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-12-02 |