| NPI | 1366888208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.010173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.341540) |
| Enumeration Date | 2013-05-19 |
| Last Update Date | 2018-05-02 |