| NPI | 1891099776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209008538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041341884) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2021-04-14 |