| NPI | 1609223304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.014413) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209.014413) |
| 363L00000X Nurse Practitioner (Licence: IL 209.014413) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2016005211) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2021-12-20 |