| NPI | 1720421175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209010646) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2013009799) |
| 163W00000X Registered Nurse (Licence: MO 2004030088) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: IL 209010646) | |
| 363L00000X Nurse Practitioner (Licence: IL 209010646) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2022-07-21 |