| NPI | 1033254537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 6214-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008399) |
| 163W00000X Registered Nurse (Licence: IL 41342447) | |
| 163W00000X Registered Nurse (Licence: WI 157188-30) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-07-17 |