| NPI | 1689427999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.030196) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60965567) |
| 163W00000X Registered Nurse (Licence: IL 041.570598) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61568878) | |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-08-13 |