NPI | 1932691177 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017478) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041355651) |
Enumeration Date | 2018-06-04 |
Last Update Date | 2021-09-10 |