| NPI | 1053692715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000093) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209008730) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2022-11-02 |