NPI | 1467999482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016203) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL F1116099) |
Enumeration Date | 2017-01-28 |
Last Update Date | 2017-08-03 |