| NPI | 1427388776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2009037799) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023198) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2009037799) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209023198) | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2023-01-31 |