| NPI | 1356942528 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209021731)  | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041413531)  | 
| Enumeration Date | 2020-11-04 | 
| Last Update Date | 2025-04-10 |