NPI | 1104683762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029546) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.029546) |
Enumeration Date | 2024-02-29 |
Last Update Date | 2024-04-25 |