| NPI | 1104674969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 209.029297) |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-07-18 |