| NPI | 1447093612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.030175) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.408813) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: IL 041408813) | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-09-10 |