| NPI | 1780855395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 21470) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-003579) |
| 163W00000X Registered Nurse (Licence: IL 041-318935) | |
| Enumeration Date | 2008-03-23 |
| Last Update Date | 2024-06-14 |