NPI | 1407353857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018470) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209018470) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2023-05-02 |