NPI | 1659097020 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209026222) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041381107) |
Enumeration Date | 2022-10-17 |
Last Update Date | 2023-02-13 |