NPI | 1013397967 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209012521) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014040193) |
Enumeration Date | 2015-06-05 |
Last Update Date | 2017-01-23 |