| NPI | 1043939747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025190) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: IL 000471490) |
| 163W00000X Registered Nurse (Licence: IL 41.420072) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |