| NPI | 1629440615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IL 209013502) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013502) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209013502) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IL 209013502) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |