NPI | 1578092227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209009928) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041310670) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2023-12-14 |