| NPI | 1336196609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209004629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041333130) |
| 363L00000X Nurse Practitioner (Licence: IL 209004629) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209004629) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209004629) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2018-11-27 |