| NPI | 1205078383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007580) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-282131) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2017-10-27 |