| NPI | 1801273784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012769) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 10.205147) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704296683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MT 219928) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03732) | |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2025-01-06 |