| NPI | 1851576680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041-265327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006664) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2021-04-23 |