| NPI | 1124073911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IA A084351) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-001288) |
| 363L00000X Nurse Practitioner (Licence: WI 2838) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2015-06-05 |