| NPI | 1700118874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-013288) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA H-123945) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2021-11-18 |