| NPI | 1043856867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020828) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041.431958) |
| 363L00000X Nurse Practitioner (Licence: IL 209.020828) | |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2023-12-20 |