NPI | 1275134165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14979) |
Enumeration Date | 2020-11-05 |
Last Update Date | 2024-07-02 |