NPI | 1164183323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022524) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022524) |
Enumeration Date | 2022-01-10 |
Last Update Date | 2025-04-10 |