NPI | 1386303139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023577) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209023577) |
Enumeration Date | 2021-12-09 |
Last Update Date | 2024-07-07 |