NPI | 1609803972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-013574) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009014) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2015-12-14 |