| NPI | 1730218017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 940074) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL SHE1-0427-2570) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2012-01-17 |