| NPI | 1811587686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.023286) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041421335) |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2022-11-09 |