| NPI | 1316448277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013863) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041442062) |
| 163W00000X Registered Nurse (Licence: MO 2007023581) | |
| 363L00000X Nurse Practitioner (Licence: MO 2017008073) | |
| 363L00000X Nurse Practitioner (Licence: IL 209016662) | |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2022-03-16 |