| NPI | 1013265248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012025805) |
| 163W00000X Registered Nurse (Licence: IL 041404382) | |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2014-02-08 |