| NPI | 1447505300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 9405234) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: FL 9405234) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: IL 041266232) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010302) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2019-02-19 |