| NPI | 1295129161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 20901209) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 37853) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2025-01-16 |