NPI | 1245025360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032159) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.032159) |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-10-09 |