NPI | 1013494236 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019501) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 228172) |
363LF0000X Nurse Practitioner, Family (Licence: WI 877533) | |
Enumeration Date | 2018-07-20 |
Last Update Date | 2024-06-18 |