| NPI | 1760644991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209008623) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209.007048) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2017-10-23 |