| NPI | 1447648878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.012382) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.012382) |
| 363L00000X Nurse Practitioner (Licence: IL 209012382) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2020-05-20 |