| NPI | 1063526788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 309000707) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309000707) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-05-24 |