NPI | 1215405071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.018357) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209.018357) |
Enumeration Date | 2018-11-08 |
Last Update Date | 2024-08-23 |