NPI | 1760913933 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209015886) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041413458) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-10-25 |