| NPI | 1982187357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-018095) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.018095) |
| 163WC2100X Registered Nurse, Continence Care (Licence: IL 209-018095) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: IL 209-018095) | |
| 163WX1500X Registered Nurse, Ostomy Care (Licence: IL 209-018095) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2025-01-29 |