| NPI | 1811362130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9483958) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041354622) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209013834) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2024-11-14 |