| NPI | 1043792641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017990) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209017990) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2025-02-04 |