| NPI | 1669967543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041388561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018349) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-10-05 |