| NPI | 1386080364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11003442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003442) |
| 363L00000X Nurse Practitioner (Licence: IL 209010360) | |
| 163W00000X Registered Nurse (Licence: IL 041387113) | |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2019-12-24 |