NPI | 1942968839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025053) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041396326) |
Enumeration Date | 2021-12-07 |
Last Update Date | 2022-11-09 |