| NPI | 1386003358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.014836) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA RN2298925) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2015038431) | |
| 363L00000X Nurse Practitioner (Licence: MO 2016028855) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-10-12 |