| NPI | 1235703091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-014816) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014816) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-08-13 |