| NPI | 1275310377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11028560) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-03-27 |