| NPI | 1477035855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209016057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041328923) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016057) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016057) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2018-09-03 |