| NPI | 1932972056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.028578) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209028578) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2024-06-17 |