NPI | 1932268919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209003332) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 309001472) |
Enumeration Date | 2006-12-06 |
Last Update Date | 2020-09-14 |