| NPI | 1538779152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021475) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2020027221) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.021475) | |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2022-04-29 |