| NPI | 1912210378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2010022185) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008271) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2010022185) | |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2025-09-19 |