| NPI | 1588125116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018868) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 9473-33) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2024-02-27 |