| NPI | 1871211946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209025618) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025618) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2022-12-12 |