NPI | 1093238263 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015931) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2023-05-11 |