| NPI | 1063846467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277001258) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015838) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2023-02-20 |