| NPI | 1053487231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 20154) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-006274) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 20154) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2023-02-28 |