| NPI | 1982781555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209002769) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IL 041-173677) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-11-30 |