| NPI | 1720849318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209028667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041444259) |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |