| NPI | 1598021321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209012610) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MO 113048) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: FL 9338452) | |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2016-03-29 |