| NPI | 1669689584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.018852) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-190862) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: WI 9387-33) | |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209-005927) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-08-07 |