NPI | 1427285626 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209007836) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041218246) |
364S00000X Clinical Nurse Specialist (Licence: IL 209-007836) | |
Enumeration Date | 2009-06-15 |
Last Update Date | 2022-01-10 |