NPI | 1649767005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001833) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016625) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-11-13 |