NPI | 1073969044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014230) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041330758) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2019-11-25 |