NPI | 1144833047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021192) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041417005) |
Enumeration Date | 2020-08-28 |
Last Update Date | 2024-09-20 |