NPI | 1437616836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209018826) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041307510) |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-05-22 |