NPI | 1255731071 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024171929) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001249978) |
163W00000X Registered Nurse (Licence: IL 041378889) | |
Enumeration Date | 2014-08-28 |
Last Update Date | 2016-03-16 |