| NPI | 1821398397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011447) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: IN 28180607A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL F0214515) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 309007962) | |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2019-11-05 |