| NPI | 1528562931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016811) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041375102) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016811) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2020-04-20 |