NPI | 1932986965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 209-028735) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IL 041448652) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209-028735) | |
Enumeration Date | 2023-09-13 |
Last Update Date | 2024-04-19 |