| NPI | 1770692048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 117389) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO RN117389) |
| 163WG0000X Registered Nurse, General Practice (Licence: IL 041-331941) | |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209-004439) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-005264) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-11-27 |