| NPI | 1417497256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015645) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209015645) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209015645) | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |