| NPI | 1730515172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041344050) |
| 363L00000X Nurse Practitioner (Licence: IL 209010892) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2019-03-18 |