NPI | 1104221431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-001084) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-012333) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2025-02-10 |