NPI | 1205581717 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN315041) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 2021106395) |
Enumeration Date | 2022-02-14 |
Last Update Date | 2023-03-10 |