| NPI | 1528549474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.018088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041429204) |
| 163WS0121X Registered Nurse, Plastic Surgery (Licence: IL 041429204) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.018088) | |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2019-12-28 |