| NPI | 1821234238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209007499) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IL 209007499) |
| 163WC0200X Registered Nurse Critical Care Medicine (Licence: IL 041-332090) | |
| 364SA2200X Clinical Nurse Specialist Adult Health (Licence: IL 209007499) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2025-07-24 |