| NPI | 1609654284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209028607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000265512) |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-10-30 |