| NPI | 1205719002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209033012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041428246) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-08-20 |