| NPI | 1720475585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125080199) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021196) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60677447) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2022-06-20 |