NPI | 1235409335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 277-000869) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041-199717) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2025-03-20 |