NPI | 1568609667 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010485) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209010485) |
363L00000X Nurse Practitioner (Licence: IL 209010485) | |
Enumeration Date | 2009-01-11 |
Last Update Date | 2020-06-05 |