| NPI | 1831114750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-001910) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209001910) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-04-20 |