NPI | 1982140661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002668) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015182) |
Enumeration Date | 2017-01-18 |
Last Update Date | 2024-08-09 |