| NPI | 1275958092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209010888) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: PA SP013241) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2015-09-23 |