| NPI | 1578332656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.029599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041409493) |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-04-26 |