NPI | 1043098445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028961) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.028961) |
Enumeration Date | 2023-09-18 |
Last Update Date | 2024-01-02 |