| NPI | 1528638020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041246157) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28283705A) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2025-03-07 |