| NPI | 1447110937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-034335) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 209.034335) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-04-24 |