| NPI | 1700221892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209010409) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277.000885) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2025-04-10 |