| NPI | 1164707691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014476) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041.382654) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041.382654) | |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2023-03-03 |