| NPI | 1770235517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209031361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022004358) |
| 163W00000X Registered Nurse (Licence: MO 2014021972) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2025-01-17 |