| NPI | 1346944501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032465) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0136075) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2025-12-05 |