| NPI | 1003507906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027948) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041.482818) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-01-17 |