| NPI | 1679119945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019708) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: IL 209.019708) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 209.019708) | |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: IL 209.019708) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: IL 209.019708) | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: IL 209.019708) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019708) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2022-08-03 |