| NPI | 1548014673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.029007) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029007) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-11-15 |