NPI | 1326761438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026521) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 99999999) |
Enumeration Date | 2022-09-22 |
Last Update Date | 2023-02-15 |