| NPI | 1295514446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025501) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209025501) |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-04-08 |