NPI | 1952614778 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001652) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008040) |
Enumeration Date | 2010-07-21 |
Last Update Date | 2023-01-25 |