NPI | 1275096810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019161) |
Additional Taxonomies | 204F00000X Transplant Surgery (Licence: IL 209019161) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209019161) | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2024-01-31 |