| NPI | 1144339318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 126962) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 126962) |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 041-069988) | |
| 363L00000X Nurse Practitioner (Licence: IL 209-003181) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-10-15 |