| NPI | 1871096644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.002102) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 209.002306) |
| Enumeration Date | 2018-03-17 |
| Last Update Date | 2025-11-10 |