| NPI | 1134537632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209011286) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209011286) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2015-08-17 |