| NPI | 1407363716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024008078) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2008023105) |
| 163W00000X Registered Nurse (Licence: IL 041425794) | |
| 163W00000X Registered Nurse (Licence: MO 2008023105) | |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2026-07-27 |