| NPI | 1932646643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001610) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015728) |
| 163W00000X Registered Nurse (Licence: IL 041449617) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3010957) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2021-10-01 |