NPI | 1366115859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL F06212479) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11015226) |
363LF0000X Nurse Practitioner, Family (Licence: ND R51555) | |
Enumeration Date | 2021-07-29 |
Last Update Date | 2022-12-28 |