| NPI | 1487425013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209-029625) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041439079) |
| 363L00000X Nurse Practitioner (Licence: IL 209029625) | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-10-30 |