| NPI | 1861229221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209030561) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: IL 209.030561) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-02-17 |