| NPI | 1790543932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.029400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 209.029400) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029400) | |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |