| NPI | 1689909749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209007717) |
| Additional Taxonomies | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: IL 209.007717) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2021-12-14 |