| NPI | 1902209232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011826) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209011825) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-11-08 |