| NPI | 1235227604 |
|---|---|
| Former Name | LOIS MILD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IL 209-000314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209000314) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-02-19 |