| NPI | 1205185741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009689) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.327232) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.009689) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2022-06-13 |