NPI | 1730607227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277001181) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016479) |
Enumeration Date | 2017-09-05 |
Last Update Date | 2023-10-04 |