NPI | 1538825518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209024554) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 3239860) |
Enumeration Date | 2021-11-13 |
Last Update Date | 2022-02-09 |