NPI | 1447885603 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020482) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03108) |
Enumeration Date | 2020-03-09 |
Last Update Date | 2024-03-28 |