| NPI | 1346580941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277-000235) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000235) |
| 363L00000X Nurse Practitioner (Licence: IL 277-000235) | |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2024-03-09 |