| NPI | 1174709851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-006864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-306144) |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2008-10-19 |