| NPI | 1366892218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014315) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: IL 041264588) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2021-04-21 |