| NPI | 1841242328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209005408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041268938) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-04-22 |