| NPI | 1952054363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IL 209024732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209024732) |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2025-04-03 |