NPI | 1649523838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009861) |
Additional Taxonomies | 163WG0100X Registered Nurse, Gastroenterology (Licence: IL 041-323652) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2017-05-10 |