| NPI | 1861218190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032172) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041.541613) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN.490237) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.032172) | |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-06-24 |