| NPI | 1356326276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.001771) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN563785) |
| 163W00000X Registered Nurse (Licence: IL 041.296959) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP008701) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-01-20 |