NPI | 1336916477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028928) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041495188) |
Enumeration Date | 2023-12-08 |
Last Update Date | 2023-12-08 |