| NPI | 1922705565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026912) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 41418332) |
| 163W00000X Registered Nurse (Licence: IL 41418332) | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-08-09 |