| NPI | 1972907459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 277002454) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209011995) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2023-09-19 |