| NPI | 1871995472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-012049) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209-012049) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-012049) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-012049) | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2021-12-20 |