| NPI | 1780264374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041383339) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209023195) | |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-09-15 |