NPI | 1518434463 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018429) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041346612) |
Enumeration Date | 2018-10-30 |
Last Update Date | 2021-11-01 |