| NPI | 1407043391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209003352) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-004398) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ 259671) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2025-04-25 |