| NPI | 1376988196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7388-33) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209009098) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2022-08-03 |