NPI | 1043360753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 290917) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209-006279) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201250065NP) | |
Enumeration Date | 2007-01-12 |
Last Update Date | 2023-12-13 |