| NPI | 1720215783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209007636) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.325954) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-19 |