| NPI | 1598466203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027288) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041453330) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209027288) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2024-03-11 |