NPI | 1518444512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A138731) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021846) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2024-02-01 |