NPI | 1679332803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209029988) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 2023210079) |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-12-26 |