NPI | 1760371876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032668) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: IL 209.032668) |
Enumeration Date | 2025-07-02 |
Last Update Date | 2025-09-30 |