NPI | 1801047196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006995) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041365057) |
Enumeration Date | 2008-10-04 |
Last Update Date | 2024-07-12 |