| NPI | 1922249895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209007563) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: IL 209.007526041.239054) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209-007563) | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2021-12-20 |