| NPI | 1770558348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: IA A084804) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA A084804) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209005262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A084804) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-08-23 |