| NPI | 1366960759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209016194) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209016194) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2018-01-09 |