| NPI | 1225386345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.009963) |
| Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IL 041347688) |
| 363L00000X Nurse Practitioner (Licence: IL 209009963) | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2019-09-18 |