| NPI | 1982118279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016991) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL Pending) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-01-15 |