NPI | 1205280674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014051) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: IL 209014051) |
Enumeration Date | 2016-04-21 |
Last Update Date | 2025-02-18 |