NPI | 1851424030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277-002076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008309) |
363LF0000X Nurse Practitioner, Family (Licence: IL 041-327567) | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2022-10-24 |