| NPI | 1043658370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO C-APN.0002755-C-NP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 041410710) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2021-06-04 |