| NPI | 1407092216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006568) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.006568) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2014-03-14 |