| NPI | 1639966807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031732) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.031732.041.57195) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-24 |