| NPI | 1871088864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017783) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209017783) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-09-15 |