| NPI | 1811770415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209027867) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027867) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209027867) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-01-23 |