NPI | 1093065930 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: IL 041318535) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 72584) |
363LF0000X Nurse Practitioner, Family (Licence: FL 11009284) | |
Enumeration Date | 2012-09-18 |
Last Update Date | 2021-07-16 |