| NPI | 1700583598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.027307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041430113) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-04-28 |