NPI | 1033833363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209028558) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041476522) |
Enumeration Date | 2022-09-29 |
Last Update Date | 2023-12-12 |