NPI | 1659523710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 4494) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209007299) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2018-03-17 |