| NPI | 1053159517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209030378) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041.480264) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-25 |