| NPI | 1992287379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277.002142) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 21404) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2021004787) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209018006) | |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2022-08-05 |