| NPI | 1235271941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.005116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041202000) |
| 363L00000X Nurse Practitioner (Licence: IL 209005116) | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-10-13 |