NPI | 1033360284 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018407) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A-070547) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2024-08-13 |