| NPI | 1326599911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2022012289) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041437555) |
| 363L00000X Nurse Practitioner (Licence: IL 209024969) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012289) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209024969) | |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-03-27 |