| NPI | 1588324727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021021440) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023715) |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |