NPI | 1598475089 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026449) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209026449) |
Enumeration Date | 2022-11-25 |
Last Update Date | 2024-05-02 |