NPI | 1356897771 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209032414) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 000000) |
Enumeration Date | 2016-08-26 |
Last Update Date | 2025-06-24 |