| NPI | 1205303948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019039233) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: MO 2018040229) |
| 363L00000X Nurse Practitioner (Licence: IL 209025210) | |
| 363L00000X Nurse Practitioner (Licence: MO 2018040229) | |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2023-05-12 |