| 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 |