| NPI | 1457719833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012737) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041333004) |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2021-05-03 |