NPI | 1316687650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024791) |
Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: IL 041436444) |
163WN0300X Registered Nurse, Nephrology (Licence: FL 9562544) | |
363L00000X Nurse Practitioner (Licence: IL 209024791) | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2022-04-01 |