NPI | 1003218116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209006898) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209006898) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2017-08-23 |