| NPI | 1841604345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.380190) |
| 163W00000X Registered Nurse (Licence: TX 890704) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP130513) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 15181) | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-07-02 |