| NPI | 1588421218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209033683) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209033683) |
| 163W00000X Registered Nurse (Licence: GA RN301754) | |
| 163W00000X Registered Nurse (Licence: IL 041595548) | |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2026-01-12 |