| NPI | 1598773103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-001557) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-270803) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-001557) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-02-27 |