NPI | 1316734866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032474) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209032474) |
Enumeration Date | 2025-04-21 |
Last Update Date | 2025-09-17 |