| NPI | 1891329280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 209-020525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.020525) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-020525) | |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-08-05 |