| NPI | 1992251664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209015552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041408338) |
| 363L00000X Nurse Practitioner (Licence: IN 28223935A) | |
| 363L00000X Nurse Practitioner (Licence: IL 209015552) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71006482A) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71006482A) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-09-07 |