NPI | 1255013652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027934) |
Additional Taxonomies | 208800000X Urology (Licence: IL 209027934) |
Enumeration Date | 2023-08-04 |
Last Update Date | 2023-12-28 |