| NPI | 1497268965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016556041.403477) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 209-016556041.403477) |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2021-12-20 |