| NPI | 1336561646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209010553) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010553) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2018-10-19 |