NPI | 1063151330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: IL 209032039) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209032039) |
363LF0000X Nurse Practitioner Family (Licence: WI 11997-33) | |
Enumeration Date | 2022-06-03 |
Last Update Date | 2025-06-10 |