| NPI | 1518970334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 24879) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309003003) |
| 363L00000X Nurse Practitioner (Licence: IA C109051) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2022-12-20 |