NPI | 1720862055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2017035984) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IL 041369546) |
Enumeration Date | 2023-08-18 |
Last Update Date | 2023-08-18 |