| NPI | 1184114274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2010007991) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041452820) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MO 2010007991) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2020-09-03 |