| NPI | 1558308940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.003039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71018445A) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209005750) | |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-85829-041) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2026029674) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209005750) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2026-08-03 |