NPI | 1043513369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000109) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11002361) |
Enumeration Date | 2010-12-08 |
Last Update Date | 2025-07-17 |