| NPI | 1285301242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024699) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA 708030) |
| 163W00000X Registered Nurse (Licence: IL 41.519493) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-03-16 |