| NPI | 1699000315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209-001410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-003026) |
| Enumeration Date | 2009-10-14 |
| Last Update Date | 2009-10-14 |