NPI | 1336638279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209-017726) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041-399775) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2024-05-20 |