| NPI | 1871737486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209.007096) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 041333860) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2023-06-29 |