| NPI | 1750815981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN0998319-NP) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0036218) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1018680) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 205982) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209015187) | |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2024-06-07 |