| NPI | 1003287293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.013397) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.369838) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2019-07-10 |