NPI | 1649952888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028056) |
Additional Taxonomies | 163WX0200X Registered Nurse, Oncology (Licence: IL 041432434) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041432434) | |
Enumeration Date | 2023-08-07 |
Last Update Date | 2023-09-06 |