NPI | 1356974786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024181) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: IL 041.305772) |
Enumeration Date | 2020-02-13 |
Last Update Date | 2022-02-09 |