| NPI | 1992254155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.009776) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2025-07-21 |