NPI | 1417284985 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7472) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007590) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2021-02-01 |