NPI | 1669796751 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209008098) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.008098) |
Enumeration Date | 2010-03-18 |
Last Update Date | 2021-09-22 |