| NPI | 1033629829 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016639) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR 219338) | 
| Enumeration Date | 2017-10-05 | 
| Last Update Date | 2024-02-14 |