NPI | 1013481076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017974) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041388470) |
Enumeration Date | 2019-01-13 |
Last Update Date | 2019-10-09 |