| NPI | 1518593375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020005606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041443230) |
| 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MO 2007018875) | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |