NPI | 1093254443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27517) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015188) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2021-05-03 |