NPI | 1922618313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 234635) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209021060) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209021060) | |
Enumeration Date | 2020-07-31 |
Last Update Date | 2024-06-21 |