| NPI | 1497198048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.025434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP3011632) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3011632) | |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2023-08-30 |