NPI | 1124486790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209013707) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013707) |
363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209013707) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209013707) | |
Enumeration Date | 2016-02-10 |
Last Update Date | 2018-12-19 |