| NPI | 1831418243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 277001432) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 277001432) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2023-06-13 |