NPI | 1952930372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022053) |
Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: IL 041422545) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-04-04 |