NPI | 1750789756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015289) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041420163) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2018-09-24 |