| NPI | 1942435821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209.007477) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209007477) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-03-08 |