| NPI | 1528503695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A165003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 132137) |
| 163W00000X Registered Nurse (Licence: IL 041511033) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209023700) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-09-28 |