| NPI | 1992742514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209000727) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041156989) |
| 363L00000X Nurse Practitioner (Licence: IL 209000727) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209000727) | |
| 364SM0705X Clinical Nurse Specialist, Medical-Surgical (Licence: IL 209000727) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2010-09-13 |