| NPI | 1942332051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005969) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209005969) |
| 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: IL 209005969) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2022-12-15 |