| NPI | 1568945509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 11331-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.434072) |
| 363L00000X Nurse Practitioner (Licence: IL 290.018164) | |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2025-04-10 |