| NPI | 1528418993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO RN154908, APRN Pend) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209014652) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016025945) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-06-07 |