| NPI | 1366097230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 22623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.018219) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: SD 221356) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-05-27 |