| NPI | 1255678751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.009575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.290236) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |