NPI | 1730201765 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005743) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209005743) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2023-08-08 |