| NPI | 1144421694 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28214) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-006752) | 
| Enumeration Date | 2007-05-31 | 
| Last Update Date | 2024-08-28 |