NPI | 1659071868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209026829) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 209026829) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-14 |