| NPI | 1447999511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209.024352) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209024352) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2022-05-27 |