NPI | 1205375151 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1000541) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015577) |
Enumeration Date | 2017-02-13 |
Last Update Date | 2023-07-14 |