| NPI | 1710328810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP7645) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 041308362) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 041308362) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 041308362) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 041308362) | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2021-03-24 |