| NPI | 1295481471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.026230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.497462) |
| 163W00000X Registered Nurse (Licence: WI 255477-30) | |
| 225100000X Physical Therapist (Licence: IL 070.012257) | |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-10-28 |