NPI | 1285172643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015537) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041411039) |
Enumeration Date | 2017-02-06 |
Last Update Date | 2017-02-06 |