NPI | 1003445099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 041.369776) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209025877) |
Enumeration Date | 2020-04-02 |
Last Update Date | 2025-08-01 |