NPI | 1326558222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002355) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.002355) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP10817) | |
Enumeration Date | 2017-10-05 |
Last Update Date | 2025-09-16 |