| NPI | 1811138944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006774) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.006774) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209006774) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2023-10-06 |