| NPI | 1871069443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.016664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041375607) |
| 208800000X Urology (Licence: IL 209.016664) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016664) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-08-17 |