| NPI | 1720534316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016546) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H134705) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2019-01-09 |