| NPI | 1821582115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.034524) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 2462101) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2026-08-27 |