NPI | 1174025357 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017288) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017288) |
Enumeration Date | 2018-03-05 |
Last Update Date | 2019-11-19 |