| NPI | 1659818607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016254) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MI 4704300441) |
| 163W00000X Registered Nurse (Licence: IL 041453108) | |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2022-07-21 |