| NPI | 1912250077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041373420) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2018-02-19 |