NPI | 1548651979 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001490) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012218) |
363LF0000X Nurse Practitioner, Family (Licence: WI 14955) | |
Enumeration Date | 2015-02-06 |
Last Update Date | 2024-04-08 |