| NPI | 1861181083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028064) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.028064) |
| 163W00000X Registered Nurse (Licence: IL 041430416) | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-11-20 |