| NPI | 1548644545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-390433) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209013007) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209013007) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2023-07-28 |