NPI | 1316582687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020072) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 020072) |
Enumeration Date | 2019-11-11 |
Last Update Date | 2022-04-05 |