| NPI | 1356035315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4007047) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027349) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-11-28 |