| NPI | 1528533288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2019007364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 153841) |
| 163W00000X Registered Nurse (Licence: IL 041384248) | |
| 163W00000X Registered Nurse (Licence: MO 2008016283) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-11-06 |