| NPI | 1407855919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209000624) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209000624) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-06-12 |