| NPI | 1134546260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM CNP60684) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011386) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2025-03-28 |