NPI | 1891483509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-028062) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 0209028062) |
Enumeration Date | 2023-05-01 |
Last Update Date | 2023-10-24 |