| NPI | 1447594999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.009826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2012031563) |
| 163W00000X Registered Nurse (Licence: IL 041.314231) | |
| 363L00000X Nurse Practitioner (Licence: IL 209009826) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2012033369) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209009826) | |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2019-07-02 |