NPI | 1013024827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 103024827) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209004763) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-12-07 |