| NPI | 1043677529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209005920) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IL 041303804) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: IN 28172884A) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71002390A) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209005920) | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2021-01-06 |