| NPI | 1124748009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209026023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041444979) |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-10-18 |