| NPI | 1881291706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.016474) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020214) |
| Enumeration Date | 2020-10-04 |
| Last Update Date | 2025-04-24 |