NPI | 1972859874 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-009161) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009161041339077) |
Enumeration Date | 2012-07-28 |
Last Update Date | 2022-05-17 |