| NPI | 1780560839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: IL 041502608) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95178035) |
| 163W00000X Registered Nurse (Licence: MI 4704390502) | |
| 163W00000X Registered Nurse (Licence: MO 2017003944) | |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |