| NPI | 1447386164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209005835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-005835) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2014-12-18 |