NPI | 1013370857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013987) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001922) |
Enumeration Date | 2016-03-30 |
Last Update Date | 2023-05-08 |