| NPI | 1992425409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025824) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041412436) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209025824) | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2024-06-10 |