| NPI | 1588041891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012706) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209012706) |
| 363L00000X Nurse Practitioner (Licence: WI 7980-33) | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-02-16 |