NPI | 1922299742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006790) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309-001477) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2023-10-04 |