NPI | 1083818835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007474) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002409A) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2024-04-01 |