| NPI | 1710382288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041363074) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |