NPI | 1265186290 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209024821) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022002977) |
Enumeration Date | 2022-02-08 |
Last Update Date | 2025-01-20 |