| NPI | 1861108185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2023014336) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027371) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-03-21 |