| NPI | 1144796764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2018037134) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209020631) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209020631) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2019040757) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-12-06 |