| NPI | 1033469994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000049) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000049) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0040625) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC apn.31164) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71017358A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4048488) | |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2025-11-13 |