| NPI | 1780159947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.018268) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.431592) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.431592) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2023-10-31 |