NPI | 1235853904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.026069) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.526617) |
Enumeration Date | 2022-09-27 |
Last Update Date | 2022-09-27 |