| NPI | 1912473380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 859559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-333667) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-018833) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-06-20 |