| NPI | 1629490081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011112) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209011112) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209011112) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209011112) | |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2023-06-08 |