NPI | 1053095687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027696) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041438787) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2023-08-03 |