NPI | 1194010553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NV 825541) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012655) |
363LA2200X Nurse Practitioner Adult Health (Licence: IL 209012655) | |
163W00000X Registered Nurse (Licence: NV 825541) | |
Enumeration Date | 2011-06-14 |
Last Update Date | 2023-04-19 |