| 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: UT 142799404405) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 15178) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2026024589) | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2026-06-13 |