| NPI | 1548637580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013025) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.397861) |
| 163W00000X Registered Nurse (Licence: OH RN.348185) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013025) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2021-02-09 |