| NPI | 1245588961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209017136) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: IL 041.397175) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2023-01-18 |