| NPI | 1952774333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11004425) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013421) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2024-02-06 |