NPI | 1619076239 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041185070) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-000990) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2008-02-09 |