| NPI | 1861116691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1087861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209024001) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024001) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-06-20 |