NPI | 1871823690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008424) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9219118) |
Enumeration Date | 2009-12-29 |
Last Update Date | 2023-02-02 |