NPI | 1225731797 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209027323) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041339540) |
Enumeration Date | 2023-03-23 |
Last Update Date | 2023-09-19 |