NPI | 1760782650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000133) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277000133) |
Enumeration Date | 2010-10-26 |
Last Update Date | 2025-06-04 |