NPI | 1962874032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000224) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013649) |
163W00000X Registered Nurse (Licence: IL 041358468) | |
Enumeration Date | 2015-10-28 |
Last Update Date | 2023-09-12 |