| NPI | 1730853508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.024650) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: FL 9454055) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-12-26 |