NPI | 1336619188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: IL 041.337897) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028927) |
Enumeration Date | 2018-12-04 |
Last Update Date | 2025-04-03 |