NPI | 1356985279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002180) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020247) |
Enumeration Date | 2019-11-04 |
Last Update Date | 2023-02-14 |