NPI | 1518527589 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95016784) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018946) |
Enumeration Date | 2019-06-20 |
Last Update Date | 2021-04-28 |