NPI | 1851805253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016562) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95019364) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2024-06-27 |