| NPI | 1457731127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH 0037682) |
| 363L00000X Nurse Practitioner (Licence: IN 71006091A) | |
| 363L00000X Nurse Practitioner (Licence: AZ 315543) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006091A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012868) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11035916) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2024-11-25 |