| NPI | 1396751012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201804553NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-00-2667) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-12-07 |