| NPI | 1033568910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209014381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041353692) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-24 |