| NPI | 1215288683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011861) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019019293) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP012399) | |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2023-11-27 |