| NPI | 1801614227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030896) |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-12-10 |