| NPI | 1588118855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016027465) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014782) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-02-06 |