| NPI | 1831495845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021006341) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.008651) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2026-05-29 |