| NPI | 1619491354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041312276) |
| 163W00000X Registered Nurse (Licence: CA 95237438) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016221) | |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2021-05-15 |