| NPI | 1346786662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: CO 996088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041358858) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209014805) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2021-01-12 |