| NPI | 1982933974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-003998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041309807) |
| 363L00000X Nurse Practitioner (Licence: IL 209-008074) | |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2022-07-21 |