| NPI | 1770127029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704401240) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041472081) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-02-15 |