| NPI | 1760804355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000018928) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18928) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209010853) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2023-01-31 |