NPI | 1184338857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026944) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041.450374) |
Enumeration Date | 2023-01-09 |
Last Update Date | 2023-03-22 |