| NPI | 1861963878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA RN2301350) |
| 207R00000X Internal Medicine (Licence: IL 209019653) | |
| 207R00000X Internal Medicine (Licence: MA .) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-04-24 |