| NPI | 1093488041 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024186633) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209022635) | 
| Enumeration Date | 2021-07-27 | 
| Last Update Date | 2023-09-28 |