NPI | 1902297435 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002842) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012548) |
Enumeration Date | 2015-02-05 |
Last Update Date | 2024-02-27 |