| NPI | 1740651140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209013248) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041383091) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-05-16 |