NPI | 1053520221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024178497) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209002162) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2023-03-07 |