| NPI | 1346648755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002015) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277002015) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277002015) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 82957) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11031045) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2024-04-02 |