NPI | 1467213868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.030292) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500009009) |
363LF0000X Nurse Practitioner, Family (Licence: MD AC006176) | |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-08-29 |