| NPI | 1114478955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277000178) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA H151249) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: WA AP60868024) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NV 824806) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2021-04-05 |