NPI | 1144804840 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209023365) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041456666) |
363L00000X Nurse Practitioner (Licence: IL 209.023365) | |
Enumeration Date | 2021-05-09 |
Last Update Date | 2022-06-16 |