| NPI | 1801378245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 002487706) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025075) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2024-03-21 |