NPI | 1043752421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015425) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 014392116) |
Enumeration Date | 2016-11-16 |
Last Update Date | 2017-02-07 |