| NPI | 1114197290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209001928) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041239045) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-07-26 |