| NPI | 1467854042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014037315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 146869) |
| 163W00000X Registered Nurse (Licence: IL 041359642) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-12-02 |