| NPI | 1114197290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71015402A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041239045) |
| 363L00000X Nurse Practitioner (Licence: IN 71015402A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209001928) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2024-07-19 |