NPI | 1801265418 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001908) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 20913193) |
Enumeration Date | 2015-09-24 |
Last Update Date | 2022-06-09 |