NPI | 1588187397 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209016698) |
Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: IL 209016698) |
Enumeration Date | 2017-07-24 |
Last Update Date | 2021-12-20 |