| NPI | 1992175467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014190) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 5007997) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.014190) | |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2025-02-06 |