NPI | 1649391186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-001618) |
Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: IL 041206411) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2023-07-11 |