| NPI | 1619602505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209025910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.442398) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2022-12-16 |