| NPI | 1750561817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 15178) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2026-03-12 |