NPI | 1992241327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017398) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.348255) |
Enumeration Date | 2017-01-09 |
Last Update Date | 2024-04-24 |