| NPI | 1801272836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209013150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 0411232777) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2021-02-19 |