| NPI | 1841645033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041395003) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209014314) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 8237) | |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2023-01-23 |