| NPI | 1336491869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 41238827) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277-002352) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2025-01-22 |