| NPI | 1386215309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.023734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041283655) |
| 163WL0100X Registered Nurse Lactation Consultant (Licence: IL 041283655) | |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2024-05-12 |