| NPI | 1083801153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71008905A) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: IL 041320143) |
| 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: WI 156646-30) | |
| 363L00000X Nurse Practitioner (Licence: WI 5991-33) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 041320143) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209012225) | |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2023-08-23 |