| NPI | 1194439885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209028261) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 501338) |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-06-11 |