| NPI | 1073030938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 209016329) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016329) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209016329) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2021-01-26 |