| NPI | 1932312089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006621) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041-332981) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2014-04-28 |