| NPI | 1992287338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704430857) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017968) |
| Enumeration Date | 2018-09-02 |
| Last Update Date | 2026-01-05 |