| NPI | 1760097604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.021834) |
| 163W00000X Registered Nurse (Licence: IL 041.431607) | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2024-03-04 |