| NPI | 1447953716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025290) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.455849) |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |