| NPI | 1548388846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-000191) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 041-239547) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2021-04-23 |