NPI | 1639112360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 041276023) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-004896) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-02-05 |