| NPI | 1659108553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209030415) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95031682) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CA 95120973) | |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041436857) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2026-07-21 |