| NPI | 1811532088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN272390) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209026689) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP0213030) | |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2024-06-18 |