| NPI | 1659188217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031112) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11036720) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-04-02 |