NPI | 1396091401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009650) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R213531) |
163W00000X Registered Nurse (Licence: IL 041344685) | |
363LF0000X Nurse Practitioner, Family (Licence: MD R213531) | |
Enumeration Date | 2012-07-25 |
Last Update Date | 2021-09-07 |