NPI | 1144906843 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.028354) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.028354) |
163W00000X Registered Nurse (Licence: IL 041434656) | |
Enumeration Date | 2023-06-26 |
Last Update Date | 2024-03-12 |