NPI | 1265927313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-017804) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209017804) |
Enumeration Date | 2018-06-29 |
Last Update Date | 2024-09-24 |