NPI | 1043779861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018999) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209018999) |
Enumeration Date | 2019-03-19 |
Last Update Date | 2023-05-08 |