NPI | 1396878682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209000481) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041248666) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2022-06-07 |