NPI | 1083253413 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209020430) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020430) |
Enumeration Date | 2020-01-02 |
Last Update Date | 2023-02-08 |