| NPI | 1720488760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02524) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4034531) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2025-02-11 |