| NPI | 1134602071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209018352) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: VA 0024176574) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2019-07-02 |