| NPI | 1316326127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 319802) |
| 163W00000X Registered Nurse (Licence: IL 041386839) | |
| 363L00000X Nurse Practitioner (Licence: IL 209012843) | |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2024-02-19 |