NPI | 1891401501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025383) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025383) |
Enumeration Date | 2023-01-26 |
Last Update Date | 2025-05-08 |