NPI | 1952135972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209029626) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209029626) |
163WX0200X Registered Nurse, Oncology (Licence: IL 209029626) | |
Enumeration Date | 2024-08-30 |
Last Update Date | 2024-11-01 |