| NPI | 1164151171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041456735) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-10-10 |