| NPI | 1265943591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016743) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 209016743) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209016743) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2023-01-20 |