NPI | 1215719380 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029424) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.536425) |
Enumeration Date | 2023-10-13 |
Last Update Date | 2024-09-24 |