NPI | 1306278130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010213) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F1212018) |
Enumeration Date | 2013-08-02 |
Last Update Date | 2015-06-08 |