| NPI | 1730588823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5391) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-011702) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-05-03 |