| NPI | 1295284750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277001211) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041416453) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209014759) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2023-06-22 |