| NPI | 1881826329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 122374) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 122374) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007748) | |
| 163W00000X Registered Nurse (Licence: IL 041323059) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-11-13 |