| NPI | 1205327590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209016851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209-016851) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2022-12-13 |