NPI | 1730508433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016268) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9372591) |
Enumeration Date | 2014-04-09 |
Last Update Date | 2021-01-06 |