NPI | 1730585845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 20916981) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126914) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2019-05-10 |