| NPI | 1023993565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 17203-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209032976) |
| 363L00000X Nurse Practitioner (Licence: WI 17203) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209032976) | |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-29 |