NPI | 1871164921 |
---|---|
Former Name | JORI HASAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209-023587) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023587) |
Enumeration Date | 2021-07-08 |
Last Update Date | 2024-06-07 |