| NPI | 1104338318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017027) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2017038282) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209017027) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2024-03-28 |