| NPI | 1730962580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028349) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.028349) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 041462060) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2024-08-06 |