NPI | 1215648514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026180) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.026180) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2025-05-14 |