| NPI | 1083017263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.011872) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL TPAN2218) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2024-04-03 |