| NPI | 1851760292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015003181) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012613041416445) |
| 363L00000X Nurse Practitioner (Licence: IL 209012613041416445) | |
| 363L00000X Nurse Practitioner (Licence: IL 209012613) | |
| 163W00000X Registered Nurse (Licence: MO 2008031785) | |
| 163W00000X Registered Nurse (Licence: IL 041416459) | |
| 363L00000X Nurse Practitioner (Licence: MO 2015003181) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2023-05-19 |