| NPI | 1558132522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029164) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041556487) |
| 163W00000X Registered Nurse (Licence: CA 95278515) | |
| 163W00000X Registered Nurse (Licence: NY 766111) | |
| 163W00000X Registered Nurse (Licence: TX 1111907) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95026426) | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |