| NPI | 1043360753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 290917) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006279) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250065NP) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2023-12-13 |