NPI | 1720165103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000529) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209006142) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2023-12-06 |