| NPI | 1194873729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IA L-106894) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.009676) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 309.005998) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-09-05 |