| NPI | 1861628703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-008385) |
| Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: IL 209-004791) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2021-12-16 |