| NPI | 1124514989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704278547) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209019465) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209-019465) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-11-27 |