| NPI | 1215359559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-011002) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011002) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2025-04-08 |