| NPI | 1326441478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.011957) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014034207) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2024-04-26 |