| NPI | 1144906843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028354) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.028354) |
| 163W00000X Registered Nurse (Licence: IL 041434656) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-03-12 |