| NPI | 1851834774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 209015157) |
| 163W00000X Registered Nurse (Licence: IL 309010585) | |
| 163W00000X Registered Nurse (Licence: IL 041363698) | |
| Enumeration Date | 2016-11-25 |
| Last Update Date | 2020-03-31 |