| NPI | 1629723101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.024405) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11038989) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 356866) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NM 84691) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 327514) | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2025-08-20 |