| NPI | 1164845483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 26896) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209010865) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2024-03-12 |