| NPI | 1972855989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209009859) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209-009859) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2025-05-21 |