NPI | 1235534363 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002167) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012093) |
Enumeration Date | 2014-10-31 |
Last Update Date | 2025-03-07 |