NPI | 1437507308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021684) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176982) |
163W00000X Registered Nurse (Licence: VA 0001236277) | |
Enumeration Date | 2016-06-01 |
Last Update Date | 2022-03-14 |