| NPI | 1134841125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209025601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041405852) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2023-07-21 |