| NPI | 1386106649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.018992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018992) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-02-01 |