| NPI | 1407535826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.027902) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041.545102) |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2023-11-30 |