| NPI | 1225742828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.028912) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.502692) |
| 163W00000X Registered Nurse (Licence: IL 041.555859) | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-05-14 |