| NPI | 1114259587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007823) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 309004468) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2021-12-24 |