| NPI | 1972774560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IL 209-007019) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209007019) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013887) | |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2022-07-25 |