| NPI | 1538419304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209009821) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 7338) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2021-04-06 |