| NPI | 1659701704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 277.003099) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 277.003099) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277.003099) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2026-07-31 |