NPI | 1104423094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022198) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041458922) |
Enumeration Date | 2020-10-05 |
Last Update Date | 2020-10-28 |