NPI | 1437515152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209027252) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9384862) |
Enumeration Date | 2016-01-11 |
Last Update Date | 2023-05-17 |