| NPI | 1093140881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.010480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.332714) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |