NPI | 1457027088 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 10323) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041406017) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209023954) | |
Enumeration Date | 2021-08-23 |
Last Update Date | 2024-01-25 |