| NPI | 1801541289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.025863) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041.428258) |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-10-10 |