| NPI | 1831629575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2024032578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2024013179) |
| 363L00000X Nurse Practitioner (Licence: IL 209016225) | |
| 363L00000X Nurse Practitioner (Licence: IL 041386624) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209016225) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016225) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016225) | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-10-01 |