| NPI | 1215720784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041507409) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209032561) | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-09-12 |