| NPI | 1760904676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016060) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041378617) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |