NPI | 1265994438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 20919119) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019007528) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 20919119) | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-05-20 |