NPI | 1902277031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017892) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP015455) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2021-12-17 |