| NPI | 1851232839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.034439) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.034439) |
| 163W00000X Registered Nurse (Licence: IL 041.445663) | |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041.445663) | |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-07-10 |