| NPI | 1134230766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209005748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71002133A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-07-25 |