| NPI | 1801231766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041371127) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2016-03-08 |