| NPI | 1114724317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209031767) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.031767) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-03-11 |