| NPI | 1801433925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.438142) |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2023-12-07 |