NPI | 1821596503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016817) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209016817) |
Enumeration Date | 2018-01-26 |
Last Update Date | 2024-01-08 |