| NPI | 1912984402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015647) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 7435) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ND R35897) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-07-27 |