| NPI | 1235413972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209015960) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP011625) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5008477) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-05-02 |