| NPI | 1306062245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209000934) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 209000934) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-05-27 |