| NPI | 1801775929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041510398) |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |