NPI | 1033684832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209018214) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018214) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209018214) | |
Enumeration Date | 2018-10-08 |
Last Update Date | 2023-11-22 |