| NPI | 1891917001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-001485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41-244380) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2010-06-22 |