| NPI | 1033825419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.026405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.360286) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-27 |