NPI | 1215309398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011961) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209013252) |
Enumeration Date | 2015-10-28 |
Last Update Date | 2022-08-29 |