| NPI | 1356807895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022171) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209022171) |
| 163W00000X Registered Nurse (Licence: IL 041490436) | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-03-17 |