| NPI | 1598158271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2368035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012197) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95025001) | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2024-10-07 |