NPI | 1215404710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.016569) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209016569) |
Enumeration Date | 2018-11-01 |
Last Update Date | 2023-06-30 |