| NPI | 1467882399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209017836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN R2166366) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-08-16 |