| NPI | 1871234476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 9365) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2498718) |
| 163W00000X Registered Nurse (Licence: IL 041461042) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 9365) | |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-10-04 |