| NPI | 1427741115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.031021) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP027091) |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-12-10 |