| NPI | 1831644863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014751) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041320067) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209014751) | |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2025-11-13 |