NPI | 1063127298 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026565) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.026565) |
Enumeration Date | 2023-01-23 |
Last Update Date | 2023-07-28 |