| NPI | 1699144303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023830) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX 770996) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-12-28 |