| NPI | 1760020531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209026022) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3014128) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KY 3014128) | |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2022-11-30 |