NPI | 1164771242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001937) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021510) |
364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 277000968) | |
Enumeration Date | 2012-09-05 |
Last Update Date | 2024-09-02 |