| NPI | 1306466313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.022190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.424604) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2022-07-06 |