| NPI | 1295062271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.007107) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 115531) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |