| NPI | 1952049785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022017344) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025538) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-11-16 |