NPI | 1174150726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018627) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019001390) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2019001390) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-04-10 |