| NPI | 1194010553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 825541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012655) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012655) | |
| 163W00000X Registered Nurse (Licence: NV 825541) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-04-19 |