NPI | 1588333033 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023791) |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: IL 209023791) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2022-12-29 |