| NPI | 1861087082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704371594) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |