| NPI | 1346624293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209012914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041349333) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2019-07-05 |