| NPI | 1710433537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11007993) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014508) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-06-21 |