| NPI | 1861698417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 18247) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041217131) |
| 363L00000X Nurse Practitioner (Licence: IL 209002801) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209002801) | |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2023-08-28 |