| NPI | 1558308940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.003039) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209005750) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209005750) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2019-11-14 |