| NPI | 1881408847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.031548) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209031548) |
| Enumeration Date | 2025-02-01 |
| Last Update Date | 2025-02-04 |