NPI | 1760081483 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 2090220809) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 2090220809) |
Enumeration Date | 2020-10-23 |
Last Update Date | 2025-04-16 |