| NPI | 1417169095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209002419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41285306) |
| 363L00000X Nurse Practitioner (Licence: IL 209002419) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209002419) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-07-06 |