NPI | 1215580220 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F345440) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.422188) |
Enumeration Date | 2019-07-18 |
Last Update Date | 2020-09-24 |