NPI | 1659880094 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277003386) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277003386) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IL 277003386) | |
Enumeration Date | 2017-09-28 |
Last Update Date | 2025-10-07 |