NPI | 1326411539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209-013552) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013552) |
Enumeration Date | 2015-11-10 |
Last Update Date | 2018-03-17 |