| NPI | 1679063275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209017674) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041388930) |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-06-16 |