| NPI | 1134527831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014041454) |
| 363L00000X Nurse Practitioner (Licence: IL 209012903) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2014041454) | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-10-26 |