NPI | 1477180149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002905) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.421329) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.021080) | |
Enumeration Date | 2020-03-24 |
Last Update Date | 2024-03-20 |