NPI | 1760669659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 041582293) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041582293) |
Enumeration Date | 2008-01-23 |
Last Update Date | 2025-03-11 |