NPI | 1013742493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030457) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030457) |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-11-14 |