NPI | 1528291150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010502) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041411024) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2024-08-28 |