NPI | 1265024582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.022678) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.22678) |
363LF0000X Nurse Practitioner, Family (Licence: IL 209.022678) | |
Enumeration Date | 2021-02-08 |
Last Update Date | 2023-03-13 |