| NPI | 1477735884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-004828) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209004828) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2016-05-12 |