NPI | 1285296905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209.019904) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019904) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2022-11-18 |