| NPI | 1588052369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209012376) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209012376) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012376) | |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2025-05-05 |