NPI | 1871331942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209030144) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041438708) |
Enumeration Date | 2024-07-15 |
Last Update Date | 2024-07-30 |