NPI | 1316647753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027198) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023007983) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2024-12-06 |