| NPI | 1093543506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209031675) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MI 4704336038) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2025-02-28 |