| NPI | 1255607032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: MI 4704302328) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IL 041-337174) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2022-07-21 |