NPI | 1700351723 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.014166) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014166) |
Enumeration Date | 2018-10-05 |
Last Update Date | 2022-06-03 |