| NPI | 1336916709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IL 209.028635) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner Perinatal (Licence: IL 209.028635) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209.028635) | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |