NPI | 1205345949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016605) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016605) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2024-04-29 |