| NPI | 1316151004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041-245587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-005298) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |