| NPI | 1760837462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024187079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041443341) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209014858) | |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2024-07-18 |