| NPI | 1265778864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209018787) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP 9291773) |
| 163W00000X Registered Nurse (Licence: FL RN 9291773) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2021-05-12 |