NPI | 1720745599 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-024446) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 041.453325) |
Enumeration Date | 2021-11-29 |
Last Update Date | 2024-06-05 |