| NPI | 1750822474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015746) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11013097) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2021-07-29 |