| NPI | 1477119006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019200) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL APRN11033131) |
| 207Q00000X Family Medicine (Licence: TX 1178493) | |
| 163W00000X Registered Nurse (Licence: IL 041354908) | |
| 207Q00000X Family Medicine (Licence: IA A159398) | |
| 207Q00000X Family Medicine (Licence: MT APRN-267620) | |
| 207Q00000X Family Medicine (Licence: MO 2025036637) | |
| 207Q00000X Family Medicine (Licence: IL 209019200) | |
| 207Q00000X Family Medicine (Licence: OR 10049634) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-10-18 |