| NPI | 1639603293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017004145) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015544) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-06-25 |