NPI | 1548658578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A109371) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012302) |
Enumeration Date | 2014-12-29 |
Last Update Date | 2024-01-16 |