| NPI | 1841925948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025476) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.025476) | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2023-04-09 |