| NPI | 1295953479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.001962) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209001962) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.001962) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-05-16 |