| NPI | 1073255303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11024096) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041336600) |
| 163WE0003X Registered Nurse, Emergency (Licence: FL 9585725) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027004) | |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-03-28 |