| NPI | 1801165436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018445) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209018445) |
| 163W00000X Registered Nurse (Licence: IL 041325860) | |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2024-04-22 |