| NPI | 1336212893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209006075) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041305478) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2013-06-24 |