NPI | 1235752742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026291) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 14900579) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209026291) | |
Enumeration Date | 2020-05-19 |
Last Update Date | 2023-10-05 |