| NPI | 1689232977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95011870) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209018148) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2020-05-19 |