| NPI | 1255763173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN309068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017325) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: LA AP07503) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2022-08-11 |