| NPI | 1245889005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019038073) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2005023391) |
| 163W00000X Registered Nurse (Licence: IL 041459011) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-30 |