NPI | 1982791760 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005804) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14972) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2024-06-26 |