NPI | 1366084477 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020363) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041440400) |
Enumeration Date | 2019-10-09 |
Last Update Date | 2024-04-16 |