| NPI | 1699277038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.017137) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 041314614) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-09-28 |