NPI | 1427559186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016694) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 14816-33) |
Enumeration Date | 2018-02-27 |
Last Update Date | 2024-09-23 |