NPI | 1407583966 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209025358) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041331252) |
Enumeration Date | 2022-08-04 |
Last Update Date | 2022-08-04 |