NPI | 1255543591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209001396) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001396) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2015-07-07 |