| NPI | 1114513306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209022951) |
| Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IL 041.411637) |
| Enumeration Date | 2020-12-12 |
| Last Update Date | 2023-02-14 |