| NPI | 1871303024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031847) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1681674) |
| 163W00000X Registered Nurse (Licence: IL 041.578655) | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-04-15 |