| NPI | 1902268394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.013732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95011709) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-03-20 |