| NPI | 1003371691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209018702) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018702) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2024-12-11 |