| NPI | 1841511896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.007617) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.371573) |
| 163W00000X Registered Nurse (Licence: TN 162394) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2011-01-12 |