| NPI | 1699266809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN305130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 9345371) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-05-14 |