NPI | 1730180621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-000284) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309002112) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2021-07-20 |