NPI | 1205293107 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014029) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041408980) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2023-02-03 |