NPI | 1477136638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024332) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.440933) |
Enumeration Date | 2021-05-04 |
Last Update Date | 2022-03-25 |