NPI | 1730546631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL F06221762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041368691) |
Enumeration Date | 2016-01-22 |
Last Update Date | 2025-03-25 |