NPI | 1235851791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026146) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: IL 041.431593) |
Enumeration Date | 2022-09-12 |
Last Update Date | 2023-01-30 |