NPI | 1215307277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013393) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209013392) |
Enumeration Date | 2015-10-03 |
Last Update Date | 2015-10-03 |