NPI | 1427082924 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005340) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005340) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2025-02-19 |