| NPI | 1083076871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209014071) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014071) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-02-20 |