| NPI | 1740888221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209022221) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.022221) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209022221) | |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-03-07 |