NPI | 1003570045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209031824) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2328288) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2025-08-11 |