| NPI | 1780904029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209-002339) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-003406) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2014-05-15 |