NPI | 1235524711 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 0309008499) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012709) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-11-27 |