| NPI | 1568830586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.376710) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.013173) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-02-16 |