| NPI | 1376389593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.031043) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 04145647) |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-11-19 |