NPI | 1487054425 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL F06141327) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-011751) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2016-02-05 |