NPI | 1427366376 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008416) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041278068) |
Enumeration Date | 2010-09-14 |
Last Update Date | 2010-10-15 |