NPI | 1730822263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025031) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-025031) |
Enumeration Date | 2022-04-13 |
Last Update Date | 2025-08-04 |