| NPI | 1821479908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209023916) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71005553A) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209023916) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: IN 71005553A) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2022-05-03 |