| NPI | 1568228278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209.027437) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.452413) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |