| NPI | 1912574401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209022835) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021010409) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2021010409) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2023-12-11 |