| NPI | 1457779639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.011429) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: IL 041-306342) |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2021-04-26 |