| NPI | 1578858924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NM 65078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309016285) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 15891) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309016285) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-07-19 |