NPI | 1740051853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2090299176) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209029176) |
Enumeration Date | 2024-01-09 |
Last Update Date | 2024-09-04 |