| NPI | 1578386348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-031007) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041441365) |
| 363L00000X Nurse Practitioner (Licence: IL 209031007) | |
| Enumeration Date | 2024-10-31 |
| Last Update Date | 2025-04-14 |