| NPI | 1649865486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.487454) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.022905) | |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2022-08-08 |